clinical decision making essay

Although clinical decision-making and clinical judgements are closely linked, but the concepts are separate. Clinical judgement defined as “an assessment between alternatives” whilst clinical decision-making defined as “a choice between alternatives” (Dowie, cited by Thompson and Dowding 2009). To choose the best between two alternatives requires the rationale behind decisions which can obtain by asking questions to create information (Standing 2010). Furthermore, Levette et al’s (2010, p. 515-20)

Clinical judgment Clinical judgment is the clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines (AACN, n.d.). In the case of F.S., he was on isolation precautions due to his infection. The results from the cultures had yet to return, therefore the infection was not identified at that current

The article A mixed methodological analysis of the role of culture in the clinical decision-making process is written by Hays, Prosek and McLeod (2010). In this article, the authors indicate that counseling process in the United States becomes more complex due to the dramatic growth of racial/ethnic minority populations. In this article, researchers try to address how culture as a factor impacts the clinical decision-making process with clients, and a special focus on clients’ cultural identities

Decision making is the cognitive process leading to the selection of a course of action among alternatives (Kelly &Crawford). Nurses’ decision, particularly focuses on clinical scenarios. Clinical Decision making is by deciding what information to gather, which tests to order, how to interpret and integrate this information to draw diagnostic conclusions, and which treatments to give (Douglas L, 2015). The nurse’s decision is judgments as to whether it will be helpful to the client/patient or it

Clinical reasoning can be best described by the process of collecting indications, processing, understand the problem or situation, plan and implement interventions, asses outcomes and learn reflect on the whole process (del Bueno, 2005). Positive outcomes of this process can be determined by an individual’s preconceptions, attitude, perspective and willingness (mentally and physically) (McCarthy, 2003). In a report by the clinical excellence commission of NSW Health they conclude that there are

I understand how to employ leadership, decision-making and clinical reasoning skills to provide optimal patient care. Pediatric care in a rural, level III, county owned emergency room is somewhat of a precarious subject. In my hospital, we have a small pediatric floor that only admits the mildly sick and transfers the rest of the patients. Therefore, the axiom of the emergency room is transfer as quickly as possible. When a pediatric trauma or emergently sick child does come into our emergency room

Process and Clinical Decision-Making The nursing professional faces a myriad of decisions on a daily basis. The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. If the nursing process is misunderstood or misapplied to the decision-making process by a failure to use critical thinking skills, the results can be catastrophic to the anticipated outcomes. Furthermore, an immaturity in critical thinking may influence decisions because of

The foundational knowledge within the situated clinical decision making model is the knowledge of nurses that informs their decisions. Gillespie and Paterson (2009) divides foundational knowledge into five ways of knowing; knowing the profession, knowing self, knowing the case, knowing the client and knowing the person. Knowing the profession is defined by Gillespie and Paterson (2009) as reflecting an “incorporation of knowledge of the scope and standards or nursing practice, including competencies

Skinner, S. B., & McVey, C. (2011). Clinical decision making for the physical therapist assistant. Sudbury, MA: Jones and Bartlett. This guide is built to help develop the essentials to caring for patients. To help people or students to make decisions to the pathway of Physical Therapy. The book then later proceeds to talk about internships and how to score a high grade for the NPTE which is the National Exam for Physical Therapy. A good thing about this book is that it can be used at any level

hierarchy of evidence is used when making decisions about clinical interventions? While research has long paralleled medicine, the use of strong research evidence as the basis for clinical action is more recent (Houser, 2015). The historically accepted hierarchy of evidence separates evidence into levels of trust, from highest to lowest (Greenhalgh, 2010): 1. Systematic reviews of randomized controlled trails 2. Randomized controlled trails 3. Controlled clinical trials 4. Observational studies (cohort